Marks Madeline E, Botta Ramya Krishna, Abe Riichiro, Beachkofsky Thomas M, Boothman Isabelle, Carleton Bruce C, Chung Wen-Hung, Cibotti Ricardo R, Dodiuk-Gad Roni P, Grimstein Christian, Hasegawa Akito, Hoofnagle Jay H, Hung Shuen-Iu, Kaffenberger Benjamin, Kroshinsky Daniela, Lehloenya Rannakoe J, Martin-Pozo Michelle, Micheletti Robert G, Mockenhaupt Maja, Nagao Keisuke, Pakala Suman, Palubinsky Amy, Pasieka Helena B, Peter Jonathan, Pirmohamed Munir, Reyes Melissa, Saeed Hajirah N, Shupp Jeffery, Sukasem Chonlaphat, Syu Jhih Yu, Ueta Mayumi, Zhou Li, Chang Wan-Chun, Becker Patrice, Bellon Teresa, Bonnet Kemberlee, Cavalleri Gianpiero, Chodosh James, Dewan Anna K, Dominguez Arturo, Dong Xinzhong, Ezhkova Elena, Fuchs Esther, Goldman Jennifer, Himed Sonia, Mallal Simon, Markova Alina, McCawley Kerry, Norton Allison E, Ostrov David, Phan Michael, Sanford Arthur, Schlundt David, Schneider Daniel, Shear Neil, Shinkai Kanade, Tkaczyk Eric, Trubiano Jason A, Volpi Simona, Bouchard Charles S, Divito Sherrie J, Phillips Elizabeth J
Center for Drug Interactions and Immunology, Division of Infectious Disease, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Division of Dermatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Front Med (Lausanne). 2023 Oct 11;10:1213889. doi: 10.3389/fmed.2023.1213889. eCollection 2023.
Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis (SJS/TEN) is a predominantly drug-induced disease, with a mortality rate of 15-20%, that engages the expertise of multiple disciplines: dermatology, allergy, immunology, clinical pharmacology, burn surgery, ophthalmology, urogynecology, and psychiatry. SJS/TEN has an incidence of 1-5/million persons per year in the United States, with even higher rates globally. One of the challenges of SJS/TEN has been developing the research infrastructure and coordination to answer questions capable of transforming clinical care and leading to improved patient outcomes. SJS/TEN 2021, the third research meeting of its kind, was held as a virtual meeting on August 28-29, 2021. The meeting brought together 428 international scientists, in addition to a community of 140 SJS/TEN survivors and family members. The goal of the meeting was to brainstorm strategies to support the continued growth of an international SJS/TEN research network, bridging science and the community. The community workshop section of the meeting focused on eight primary themes: mental health, eye care, SJS/TEN in children, non-drug induced SJS/TEN, long-term health complications, new advances in mechanisms and basic science, managing long-term scarring, considerations for skin of color, and COVID-19 vaccines. The meeting featured several important updates and identified areas of unmet research and clinical need that will be highlighted in this white paper.
史蒂文斯-约翰逊综合征/中毒性表皮坏死松解症(SJS/TEN)主要是一种药物诱发的疾病,死亡率为15%-20%,需要多个学科的专业知识:皮肤科、过敏科、免疫学、临床药理学、烧伤外科、眼科、泌尿妇科和精神病学。在美国,SJS/TEN的发病率为每年每百万人1至5例,全球发病率甚至更高。SJS/TEN面临的挑战之一是建立研究基础设施并进行协调,以解答能够改变临床护理并改善患者预后的问题。SJS/TEN 2021是该系列的第三次研究会议,于2021年8月28日至29日以虚拟会议的形式举行。该会议汇聚了428名国际科学家,此外还有140名SJS/TEN幸存者及家属群体。会议的目标是集思广益,制定支持国际SJS/TEN研究网络持续发展的策略,弥合科学与群体之间的差距。会议的社区研讨会部分聚焦八个主要主题:心理健康、眼部护理、儿童SJS/TEN、非药物诱发的SJS/TEN、长期健康并发症、机制与基础科学的新进展、长期瘢痕管理、有色人种皮肤的考量以及新冠疫苗。会议展示了多项重要进展,并确定了未满足的研究和临床需求领域,这些将在本白皮书中重点阐述。